OTC® Examination Information

OTC Eligibility Routes

Only One (1) Eligibility Route is required to be met and the appropriate application must be submitted.

The approved eligibility routes are as follows: 

Eligibility Route A: The Certification examination is based on an individual with two years’ experience. Eligibility Route B: This route is set up for those candidates that have completed a structured Orthopaedic Technologist program. 

Eligibility Route C: The National Board for Certification of Orthopaedic Technologists has recognized that Certified/Licensed Athletic Trainers have met many of the requirements and guidelines that coincide with the Orthopaedic Technologists Certified. Therefore, a special eligibility route has been created. 

Please refer to a more detailed description of the eligibility routes  found on the bottom of this page under "Downloads".

OTC Examination References

References for the OTC Examination can be found from the link on the bottom of this page.  Please note that there is not one text book that will insure a successful outcome of your Examination. Texts used in the creation of test questions are listed within the Examination Reference document.

Important Notice Regarding NBCOT OTC Certification Examination Study Preperation Materials

NBCOT does not support, endorse, or have any type of affiliation with, any company advertising or selling study preparation materials for NBCOT Certification Examinations, and does not endorse their representations or products.

    

It has come to the attention of NBCOT that a number of companies advertise and sell study preparation materials to candidates preparing to take the OTC® and OT‐SC™ Certification Examinations.  In some instances, these companies represent that the product(s) identify specific examination content areas and "guarantee" to help a candidate successfully pass the OTC® or OT‐SC™ examination.  For example, one educational publishing firm offers the following study preparation materials on its company Internet site:  "Orthopaedic Technologist Certified Exam Secrets Study Guide;" and, "Orthopaedic Technologist Certified Exam Flashcard Study System."   


NBCOT does not support, endorse, or have any type of affiliation with, any of these companies, and does not endorse their representations or products.  Additionally, NBCOT has not authorized the use and/or display of the NBCOT trademarks, including the OTC® and OT‐SC™ marks.  Therefore, NBCOT does not assume any legal liability or responsibility for the representations being made by these companies concerning NBCOT examinations, or the products and materials being sold. 


As explained in the OTC® Examination Application and Candidate Handbook, "there is no one study guide, reference, or textbook that will solely guarantee that you will pass the OTC® Certification Examination."  In order to prepare for the examination, NBCOT recommends that candidates review the examination preparatory references and materials identified on the NBCOT website, including, but not limited to:  "Exam Breakdown,""OTC-JTA Results", "OTC References" located within this page


Please contact the NBCOT Executive Director at Executivedirector@nbcot.net with any additional questions concerning the NBCOT examinations. 

OTC Examination Breakdown

The Examination Breakdown is based on the most current Job Task Analysis which can be reviewed by clicking the link on the bottom of this page.


1. Assessment 40% 

A. Interview patient and family in order to obtain a complete history of the patient’s complaints/condition by using effective interviewing techniques. 


B. Conduct physical examination of the patient in order to provide pertinent information to the surgeon by using standard examination techniques. 


C. Radiographic interpretation 


2. Casting, Splinting and Orthopaedic Appliances 40% 

A. Apply upper extremity cast/splint to patient in order to comply with physician’s orders by using accepted Casting/splinting practices and techniques. 


B. Apply lower extremity cast/splint to patient in order to comply with physician’s orders by using accepted casting/splinting practices and techniques. 


C. Apply torso extremity cast/splint to patient in order to comply with physician’s orders by using accepted casting/splinting practices and techniques. 



D. Apply specialty extremity cast/splint to patient in order to comply with physician’s orders by using accepted casting/splinting practices and techniques. 


E. Utilize cast/splint to patient in order to comply with physician’s orders by using accepted practices and techniques. 


F. Apply Orthopaedic devices to patient in order to comply with physician’s order by ensuring proper fit/placement. 


G. Apply pre-fabricated orthotics and  Orthopaedic appliances to patient by ensuring proper fit in order to comply with physician’s orders. 


3. Traction 10% 


A. Obtain equipment in order to apply traction therapy to patient by selecting appropriate items for the traction apparatus. 


B. Apply traction apparatus to bet in order to prepare for application of skin or skeletal traction by using accepted practices and techniques. 


C. Drape, scrub, and assist in the application of skeletal traction therapy in order to comply with physician’s orders by using accepted practices and techniques. 


D. Apply skin traction therapy to patient in order to comply with physician’s orders by using accepted practices and techniques. 


E. Assist in discontinuing traction therapy in order to comply with physician’s orders by using accepted practices and techniques. 


4. Surgery 10% 


A. Position, prep, and drape patient by using accepted practices and techniques in order to prepare patient for surgery. 


B. Apply and manage post-operative dressings on wounds following aseptic technique. 


C. Assist the surgeon during reductions by supplying and applying the appropriate materials.  


D. Assist the surgeon by using accepted surgical practices and techniques.  

How Is The OTC Examination Scored

Scoring of the OTC Examination is based on the results of a Cut Score Study which was determined by a panel of OTCs throughout the country.  The examination is scored from a 100 - 1000 score range.  The passing score for the OTC examination is set at 700.


A more detailed explanation of how the examination is scored is found under the download section of this page under "How The OTC Examination Is Scored" tab. You will also find a copy of the Job Task Analysis used to develop the OTC Examination.

OTC® Applications and Handbook

OTC Applicant Handbook

The Applicant Handbook is a vital tool to be used in completing your OTC Examination Application. It is strongly suggested that you download this handbook and become yourself familiar with it's contents before completing your application.  The Applicant Handbook can be found at the bottom of this page under Downloads.

OTC Applications

The NBCOT Examination Applications can be found at the bottom of this page under downloads.  Please note that there is an application for each eligibility route so make sure you complete the appropriate application for the eligibility route you are applying under.  The use of the wrong application will result in a delay in processing your application and may cause you to incur late registration fees.  If you are recertifying by examination use application for eligibility route A.


Please Note that after downloading the appropriate application it can either be completed on your computer or by pen. If you complete the application on your computer, you must print it out in single sided format and mail to the NBCOT office listed on the first page of the application.

Frequently Asked Questions

Question: I am being considered for a job and I need my credentials in my hand before I am hired.  Why does it take so long to receive my new Certification packet?

Answer: Examination results are issued to a candidate at the test center immediately after their examination has been completed as a courtesy; however, the NBCOT office is notified of the official examination results up to five (5) business days after a candidate has completed their examination.  A newly credentialed person will be placed into rotation for receipt of their certification packet at that time.  If any potential employer needs verification that a person is currently credentialed, or has been recently credentialed by the National Board for Certification of Orthopaedic Technologists, Inc., all the Employer, Human Resource Representative or Credentialing Agency Representative needs to do is contact the NBCOT Office.  Score reports or individual testing statistics are never given to any person other than the credential holder. All printed materials associated with credentialing are produced and mailed to the credential holder within 4-6 weeks of passing an examination.